伊朗孕产妇死亡监测系统中的信息管理

Information management in Iranian Maternal Mortality Surveillance System.

作者信息

Sadoughi Farahnaz, Karimi Afsaneh, Erfannia Leila

机构信息

Ph.D. of Health Information Management, Professor, Health Management and Economics Research Center, Health Information Management Department, School of Health Management and Information Sciences, Iran University of Medical sciences, Tehran, Iran.

Ph.D. Student of Health Information Management, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Electron Physician. 2017 Jul 25;9(7):4914-4923. doi: 10.19082/4914. eCollection 2017 Jul.

DOI:10.19082/4914

PMID:28894555

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5587013/

Abstract

BACKGROUND

Maternal mortality is preventable by proper information management and is the main target of the Maternal Mortality Surveillance System (MMSS).

AIM

This study aimed to determine the status of information management in the Iranian Maternal Mortality Surveillance System (IMMSS).

METHODS

The population of this descriptive and analytical study, which was conducted in 2016, included 96 administrative staff of health and treatment deputies of universities of medical sciences and the Ministry of Health in Iran. Data were gathered by a five-part questionnaire with confirmed validity and reliability. A total of 76 questionnaires were completed, and data were analyzed using SPSS software, version 19, by descriptive and inferential statistics. The relationship between variables "organizational unit" and the four studied axes was studied using Kendall's correlation coefficient test.

RESULTS

The status of information management in IMMSS was desirable. Data gathering and storage axis and data processing and compilation axis achieved the highest (2.7±0.46) and the lowest (2.4±0.49) mean scores, respectively. The data-gathering method, control of a sample of women deaths in reproductive age in the universities of medical sciences, use of international classification of disease, and use of this system information by management teams to set resources allocation achieved the lowest mean scores in studied axes. Treatment deputy staff had a more positive attitude toward the status of information management of IMMSS than the health deputy staff (p=0.004).

CONCLUSION

Although the status of information management in IMMSS was desirable, it could be improved by modification of the data-gathering method; creating communication links between different data resources; a periodic sample control of women deaths in reproductive age in the universities of medical sciences; and implementing ICD-MM and integration of its rules on a unified system of death.

摘要

背景

通过适当的信息管理可预防孕产妇死亡，这也是孕产妇死亡监测系统（MMSS）的主要目标。

目的

本研究旨在确定伊朗孕产妇死亡监测系统（IMMSS）中的信息管理状况。

方法

这项描述性和分析性研究于2016年开展，研究对象包括伊朗医学科学大学和卫生部卫生与治疗部门的96名行政人员。通过一份具有确认效度和信度的五部分问卷收集数据。共完成76份问卷，并使用SPSS 19版软件通过描述性和推断性统计进行数据分析。使用肯德尔相关系数检验研究变量“组织单位”与四个研究轴之间的关系。

结果

IMMSS中的信息管理状况良好。数据收集与存储轴和数据处理与汇编轴的平均得分分别最高（2.7±0.46）和最低（2.4±0.49）。在研究轴中，数据收集方法、医学科学大学对育龄期女性死亡样本的控制、国际疾病分类的使用以及管理团队利用该系统信息进行资源分配的平均得分最低。治疗部门工作人员对IMMSS信息管理状况的态度比卫生部门工作人员更为积极（p = 0.004）。